Skilled nursing facility · CMS certification number 055914
PLYMOUTH VILLAGE
REDLANDS, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 48
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,331,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,555,856 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,775,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,800,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$24,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $631,490 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $606,948 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,948 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 148,596 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,349 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,559 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 102,375 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 106,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 138 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 614.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436279, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,102,806 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,314,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,788,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,535,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $253,210 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $660,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $913,935 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $913,935 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 102,714 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 591.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 555.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394480, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,104,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,386,495 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,718,139 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,576,219 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,858,080 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,392,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$465,263 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$465,263 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 97,728 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 415.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366066, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,922,893 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,794,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,128,069 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,385,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,257,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $503,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,753,353 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,753,353 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 89,151 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 327.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333503, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,969,341 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,411,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,557,475 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,573,847 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,016,372 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $980,966 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,035,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,035,406 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 80,403 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 297 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 270.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304697, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,782,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,618,405 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,163,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,363,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,200,231 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $451,872 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,748,359 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,748,359 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 84,099 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 464 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 334 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279129, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,224,784 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,392,132 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,832,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,964,756 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,132,104 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $449,951 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$682,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$682,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 84,481 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 295.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242725, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,687,087 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,139,445 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,547,642 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,587,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$39,533 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $402,751 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $363,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $363,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 84,413 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 371.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209768, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for October 1, 2016 to December 31, 2016 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,250,400 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $316,774 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,933,626 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,909,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $23,670 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $130,403 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $130,403 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,874 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 565.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171060, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,068,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,166,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,902,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,474,427 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$572,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $469,146 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$102,995 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$102,995 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 100,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 495.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122125, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 5, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,494,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,449,005 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,045,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,117,663 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,072,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $481,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$591,417 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$591,417 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 101,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 487.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 649.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089810, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,506,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,572,946 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,933,901 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,995,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,061,309 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $545,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$515,676 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$515,676 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 100,815 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 196 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 466.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 514.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1060057, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,428,769 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,925,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,503,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,417,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$914,257 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $389,507 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$524,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$524,750 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 95,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 399.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 502.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027351, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,438,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,105,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$667,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $394,161 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$273,523 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 95,669 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 716.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 430.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426929, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,577,328 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,108,183 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$530,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $460,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$70,237 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 97,102 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 453.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 610.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397599, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,643,838 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,758,739 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,901 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $477,944 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $363,043 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 101,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 516.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 769.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365487, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,910,521 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,344,782 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$434,261 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,476,525 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,042,264 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 103,107 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 148 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,011 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 696.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337057, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,977,107 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,054,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$76,905 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $444,159 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $367,254 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 108,228 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,169 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 578.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306378, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,833,719 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,493,621 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $340,098 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $389,458 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $729,556 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 108,436 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 484.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 612.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275352, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,475,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,955,246 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$479,328 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $421,090 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$58,238 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 108,924 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 194.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 591.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248061, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,671,745 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,317,761 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$646,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $307,946 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$338,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 102,608 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 182 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 689.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 563.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214179, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,663,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,686,123 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$22,483 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $406,202 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $383,719 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 408 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 105,363 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 266 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 322.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172037, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,397,823 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,494,343 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$96,520 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $223,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $127,239 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 412 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 112,205 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 871 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 705.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191964, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,434,818 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,869,687 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,434,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,635,221 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $200,352 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 410 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 106,824 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 407.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 436.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156742, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 8, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,988,406 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,563,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,575,134 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,973,811 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $398,677 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 386 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 99,884 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 522.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81558, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,437,105 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,834,153 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$397,048 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$394,528 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,017 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 231.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81556, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,356,682 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,501,972 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$145,290 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $213,780 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $68,490 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 201.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81554, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,237,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,420,870 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$183,454 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,071 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$173,383 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,785 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 233.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81552, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,307,285 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,139,867 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $167,418 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,200 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $220,618 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,792 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,889 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 81551, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HUMANGOOD NORCAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/1967 |
| HUMANGOOD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2016 |
| U.S. BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 04/01/2018 |
| BAKER TILLY US LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/15/2024 |
| COCHRANE, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/10/2009 |
| DAVIS, VICTORIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/06/2023 |
| DRAKE, BRETT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/14/2024 |
| HANSEN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/27/2017 |
| HARRISON, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2024 |
| HUMANGOOD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/05/2025 |
| HUMANGOOD NORCAL | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/1967 |
| HUMANGOOD SOCAL | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/1967 |
| KELLEY, ALBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2016 |
| MCDONALD, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| NASSAR, MOHAMED | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2020 |
| U.S. BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2018 |
| VANGELISTO, GWEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2021 |
| WASHINGTON FEDERAL BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/27/2020 |
| BAKER, JUDITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/25/2012 |
| BATTISON, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2016 |
| BROWN, HERMAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2016 |
| CHRISTOPHERSON, JOANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/20/2025 |
| FELLER, IRENE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2021 |
| GRIFFITH, ALAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/30/2019 |
| HOLMES, MICHELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2016 |
| KELLEY, ALBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2016 |
| ROTH, SHARON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/08/2018 |
| VANGELISTO, GWEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/30/2021 |
| COCHRANE, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/10/2009 |
| GHASSEMI, BETHANY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/21/2019 |
| MCDONALD, ANDREW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| OGUS, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/27/2009 |
| COCHRANE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/10/2009 |
| DAVIS, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/06/2023 |
| DRAKE, BRETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2024 |
| GHASSEMI, BETHANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/21/2019 |
| HARRISON, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/2024 |
| HUMANGOOD NORCAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1967 |
| HUMANGOOD SOCAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1967 |
| LOPEZ, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/20/2020 |
| MCDONALD, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| NASSAR, MOHAMED | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2020 |
| OGUS, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/17/1995 |
| VANGELISTO, GWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HUMANGOOD NORCAL (enrollment ID O20100222000713).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HUMANGOOD NORCAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUMANGOOD | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| U.S. BANK | Organization | 5% OR GREATER SECURITY INTEREST | 34 | 4/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALBERT W KELLEY | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW MCDONALD | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BAKER TILLY US LLP | Organization | ADP OF THE SNF | Not stated in the filing | 10/15/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRETT DRAKE | Individual | ADP OF THE SNF | Not stated in the filing | 10/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GWEN VANGELISTO | Individual | ADP OF THE SNF | Not stated in the filing | 8/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HANSEN | Organization | ADP OF THE SNF | Not stated in the filing | 3/27/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUMANGOOD | Organization | ADP OF THE SNF | Not stated in the filing | 12/5/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUMANGOOD NORCAL | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUMANGOOD SOCAL | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN H. COCHRANE | Individual | ADP OF THE SNF | Not stated in the filing | 8/10/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL HARRISON | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOHAMED NASSAR | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| U.S. BANK | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| VICTORIA DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 8/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WASHINGTON FEDERAL | Organization | ADP OF THE SNF | Not stated in the filing | 10/27/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAN GRIFFITH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/30/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALBERT W KELLEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GWEN VANGELISTO | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HERMAN DECLAN BROWN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IRENE FELLER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANNE CHRISTOPHERSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH D BAKER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/25/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHELLE M HOLMES | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHARON ROTH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/8/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM J BATTISON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW MCDONALD | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETHANY J GHASSEMI | Individual | CORPORATE OFFICER | Not stated in the filing | 5/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL OGUS | Individual | CORPORATE OFFICER | Not stated in the filing | 8/27/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN H. COCHRANE | Individual | CORPORATE OFFICER | Not stated in the filing | 8/10/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW MCDONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETHANY J GHASSEMI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRETT DRAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL OGUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/17/1995 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GWEN VANGELISTO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HUMANGOOD NORCAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUMANGOOD SOCAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1967 | Private equity company: No Real estate investment trust: No Holding company: No |
| JESSICA LOPEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/20/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN H. COCHRANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/10/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL HARRISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOHAMED NASSAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VICTORIA DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: WASHINGTON FEDERAL no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: WASHINGTON FEDERAL BANK appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- July 1, 2026: GWEN VANGELISTO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HERMAN DECLAN BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRETT DRAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: U.S. BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: U.S. BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW MCDONALD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW MCDONALD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIEL OGUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 17, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD SOCAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD SOCAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BETHANY J GHASSEMI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD NORCAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD NORCAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOANNE CHRISTOPHERSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRETT DRAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN H. COCHRANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 10, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN H. COCHRANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 10, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WASHINGTON FEDERAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 27, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALBERT W KELLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BAKER TILLY US LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JESSICA LOPEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VICTORIA DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VICTORIA DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 27, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2025: RANDALL L STAMPER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- December 1, 2024: BRETT DRAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- December 1, 2024: BRETT DRAKE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on December 1, 2024; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- August 1, 2024: MICHAEL HARRISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since June 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- June 3, 2024: MOHAMED NASSAR (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since July 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- September 15, 2023: KATE A WINTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- September 1, 2026: WASHINGTON FEDERAL no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: WASHINGTON FEDERAL BANK appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- July 1, 2026: GWEN VANGELISTO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HERMAN DECLAN BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRETT DRAKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: U.S. BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: U.S. BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW MCDONALD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW MCDONALD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIEL OGUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 17, 1995. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD SOCAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD SOCAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOHAMED NASSAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GWEN VANGELISTO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BETHANY J GHASSEMI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD NORCAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HUMANGOOD NORCAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 1967. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOANNE CHRISTOPHERSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRETT DRAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MICHAEL HARRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN H. COCHRANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 10, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN H. COCHRANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 10, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WASHINGTON FEDERAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 27, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALBERT W KELLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BAKER TILLY US LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JESSICA LOPEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VICTORIA DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: VICTORIA DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HANSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 27, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2025: RANDALL L STAMPER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- December 1, 2024: BRETT DRAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- December 1, 2024: BRETT DRAKE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on December 1, 2024; associated with this enrollment since October 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 19, 2025 | June 19, 2025 | 7 | 2 |
| 2 | April 26, 2024 | April 26, 2024 | 7 | 1 |
| 3 | March 10, 2023 | March 10, 2023 | 9 | 15 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 28, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | June 4, 2026 |
| June 19, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | July 10, 2025 |
| June 19, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 10, 2025 |
| June 19, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 10, 2025 |
| June 19, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 10, 2025 |
| June 19, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | July 10, 2025 |
| June 19, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | July 10, 2025 |
| April 26, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 20, 2024 |
| April 26, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 20, 2024 |
| March 10, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
| March 10, 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | April 18, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HUMANGOOD NORCAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1968-03-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | San Bernardino |
| Telephone Number | 9097931233 |
| Chain Name | HUMANGOOD |
| Chain ID | 274 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 48 |
| Average Number of Residents per Day | 43.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PLYMOUTH VILLAGE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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